Individual
BYRON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-4440
(315) 287-1858
Mailing address
4 COMMERCE LANE, CANTON, NY 13617
(315) 379-8191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027714
NY
Other
Enumeration date
10/06/2020
Last updated
11/28/2023
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